TERRELL GLENN (MD) – Family Medicine Physician, NPI 1972990174

TERRELL GLENN (MD) is a healthcare provider. based in Independence, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. R0578 (TX). The NPI Number for TERRELL GLENN (MD) is 1972990174

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TERRELL GLENN (MD)
NPI
1972990174
Phone
(503) 838-1133
Address
1430 MONMOUTH ST
Enumeration Date
25 April 2015
Last Update Date
30 July 2024

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
8019653600
Graduation Year
2015 (11 years ago)
PAC ID
8820394976
Group Practice PAC ID
3476465691
Professional Enrollment ID
I20201130000633
Address ID
UT841193602WE2965X3500300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:11State licenses:3Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

Provider Addresses for TERRELL GLENN (MD)

  • 1430 MONMOUTH ST

    INDEPENDENCE, OR 973511127

    Phone: (503) 838-1133

    Fax: (503) 838-5138

    Type: Mailing

  • 1430 Monmouth St

    Independence, OR 973511127

    Phone: (503) 838-1133

    Fax: (503) 838-5138

    Type: Location

  • 2965 W 3500 S

    WEST VALLEY CITY, UT 841193602

    Phone: (801) 965-3600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $237.

Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Lilly USA, LLC ($53).

Total Amount

$237

General + Research + Ownership

Payments

14

Total payment records

General Amount

$237

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160329002046IFamily PracticeTXTBD
I20201130000633IFamily PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7569$0
99214Established patient office or other outpatient visit, 30-39 minutes3626$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1716$0
80053Blood test, comprehensive group of blood chemicals1616$0
84443Blood test, thyroid stimulating hormone (tsh)1414$0
View full utilization report →

Insurance plans in this area (ZIP 97351)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476465691View full group profile
NameSpecialtyState
Nurse PractitionerUT
U R O L O G YUT
-UT
Pain ManagementUT
Physician AssistantUT
-UT
Sports Medicine, Family PracticeUT
-UT
Family PracticeUT
Internal MedicineUT

Reviews

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Frequently asked questions

How do I look up TERRELL GLENN (MD) by NPI?
Use NPI 1972990174 when you need to reference TERRELL GLENN (MD) in forms, claims, or directories.
Is TERRELL GLENN (MD)'s NPI currently valid?
The extract we use shows TERRELL GLENN (MD) as active.
What does TERRELL GLENN (MD) treat or focus on?
Patients typically see TERRELL GLENN (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TERRELL GLENN (MD)?
The page summarizes Independence, Oregon for TERRELL GLENN (MD); expand the address list for detail.
Is TERRELL GLENN (MD) a real provider?
This page reflects official NPPES data for NPI 1972990174. Always confirm identity and privileges with the practice and licensing boards.

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